Quality Improvement Specialist - Dental Offices
- Develop and manage comprehensive chart review projects, to evaluate clinical documentation, treatment effectiveness, and compliance.
- Review x-rays, patient charts and other patient records to ensure treatment/service provided is within guidelines of the standard of care guidelines.
- Review preauthorization paperwork to ensure the intended treatment meets the dental plan criteria and relevant program criteria.
- Proactively communicate with providers to request and obtain additional information or clarification as needed.
- Prepare reports for leadership committees highlighting key findings, trends and potential areas of improvement.
- Continuously update professional knowledge by leveraging available resources to stay current on dental plans, coverage options, and industry best practices.
- Recommend and assist in implementing corrective action plans and lead initiatives to enhance clinical quality, and documentation standards.
- May lead projects related to safety and compliance, providing strategic suggestions for process improvements.
- Other duties as may arise.
- Ability to communicate effectively (verbal and written) persons of diverse backgrounds and educational levels.
- Excellent organization and interpersonal skills required.
- Excellent problem-solving skills to allow for the correct diagnosis of a problem along with potential solutions for resolution.
- Skilled in working with others in a team environment.
- Must be proficient in MS Office applications (Word, Excel, PowerPoint, and Access).
- Licensed Dental Hygienist preferred
- Minimum 5 years of experience in a clinical role or other similar related experience.
- Knowledge of dental procedures, terminology, and codes.
- Ability to remain in a stationary position, sitting and/or standing, for extended time [e.g. sitting at a desk, working at a computer].
- Health, Dental and Vision Insurance
- 401(k) Retirement Plan
- Paid Holidays & Time Off
- Access to Financial Advisors
- Basic Life & AD&D Insurance
- Voluntary Life Insurance
- Voluntary Short-Term & Long-Term Disability
- On demand Pay > Receive a portion of your check before payday!
- full time, Monday - Friday
- Remote work
Recommended Jobs
Assistant Food & Beverage Manager in training
Urbana Country Club is where timeless hospitality meets bold innovation. We're looking for passionate and dedicated professionals to join our team as we continue to redefine private club and resort e…
Diesel Mechanic
Starting Pay: up to $32/hr (Will Increase Based on EXP/Qualifications) Starting Shift: 7am-5pm M-F. Overtime after 40hrs Benefits: ~15 days of paid time off ~ Relocation Assistance ~ Q…
Certified Nursing Assistant (CNA) (Chicago)
Description: Join us at the Nexus of care and compassion. Certified Nursing Assistant (CNA) Benefits: ~ Low-Cost Medical, Dental, Vision, and Voluntary Benefits coverage ~401K Plan ~ Employe…
Premium Ambassador
Chicago Fire Football Club is a Major League Soccer team that was founded in 1997. Under new ownership, the Club recently returned to Chicago’s iconic Soldier Field, opened a new 50,000-square foot o…
Part Time Registered Dental Hygienist
Join Norwood Park Periodontics, our forward-thinking periodontal specialty practice, as a Registered Dental Hygienist and elevate your career! This role offers the chance to work with cutting-edge to…
Forklift Operator
Staffmax is assisting our client in hiring a certified Forklift Operator for a 6-month contract night shift. This is a great opportunity for skilled forklift drivers looking for stable, long-term wor…
Associate Veterinarian - Join a Growing Team!
Established Hospital | No Non-Compete | Growth Opportunity Ready to practice high-quality veterinary care in a supportive, well-equipped environment? We’re excited to invite an Associate Veterina…
MEP Project Manager
About Us Clayco is a full-service, turnkey real estate development, master planning, architecture, engineering, and construction firm that safely delivers clients across North America the highest …
Customer Success Intern (Summer 2026)
Get to know Okta Okta is The World’s Identity Company. We free everyone to safely use any technology, anywhere, on any device or app. Our flexible and neutral products, Okta Platform and Auth0 Pla…
Advanced Specialist, Faculty Advisor - Mathematics
Description The Faculty Advisor for Mathematics is a key member of the Faculty Advisory Team within the Pearson North America Higher Education Customer Success Organization. They will strategicall…